Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
Public Health Performance Management Centers for Excellence
1
Public Records Requests
Snohomish Health District
Josi Green, Ivy Giessen & Debbie Pennell
2013 Quality Improvement Grantees
Learning Congress
September 23, 2013
Public Health Performance Management Centers for Excellence September 23, 2013
Public Records Request Project Team
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Team Leader:
Debbie Pennell, Administrative Support Manager
Team Facilitator:
Kevin Plemel, Program Manager
Team Members:
Nancy Blevins, Health Information Manager
Josi Guzman-Green, Program Assistant 2
Susan Schmick, Program Assistant 2
Crystal Dudley, Administrative Assistant
Ivy Giessen, Applications Systems Analyst
Funded by the US Centers for Disease Control and Prevention
Public Health Performance Management
Centers for Excellence
Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
September 23, 2013
Snohomish County
3 Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
• Total population: 717,000
• 42% residing in unincorporated areas
• 162 employees, 2013 budget $17,170,636
Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
Public Health Performance Management Centers for Excellence
September 23, 2013 4
Snohomish Health District’s Environmental Health Division
estimates processing 500+ requests for public records on
individual property tax account numbers in Snohomish
County in 2012/2013.
The increase of requests limits staff effectiveness in other
services the public requires.
From October 2012 – June 2013 Snohomish Health
District received and processed 687 public records
requests on individual tax account numbers.
Project Identification
Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
Public Health Performance Management Centers for Excellence
September 23, 2013 5
Recognizing the Need for Change
Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
Public Health Performance Management Centers for Excellence
6
Problem/Opportunity
Funded by the US Centers for Disease Control and Prevention
Public Health Performance Management
Centers for Excellence
Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
September 23, 2013
AIM Statement
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To process 98% of public record requests from receipt
of request to records made available to customer
within 10 business days, while reducing the number of
clarification to requestors of public records from 1.2%
to 0.5%, and reducing the average number of times
staff hand off requests to another staff member from 5
to 3, or 10%, per request by June 30, 2013.
Ultimately, the outcome will reduce staff time and
effort while not diminishing customer service (98%
within 10 days or better).
Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
Public Health Performance Management Centers for Excellence
8
Project Activities Mapped process
Measured targets
Studied possible redundancies
Implemented workload shift
Enhanced the Request for Public Records form
Public Health Performance Management Centers for Excellence September 23, 2013
Quality Tools – Swim Lane Diagram -Before
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Public Health Performance Management Centers for Excellence September 23, 2013
Swim Lane Diagram - After
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Public Health Performance Management Centers for Excellence September 23, 2013
Quality Tools – Root Cause
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Too many staff handling work
Lack of centralized location for work
Variations in process by support staff and
managers signing off on requests
Lack of clarity for customer regarding forms
Public Health Performance Management Centers for Excellence September 23, 2013
Quality Tools – Improvement
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Centralized location
Designated space
Reduced the number of
staff handling requests
Created a standardized
email reply
Implemented a
numbering system
Improved paperwork
Public Health Performance Management
Centers for Excellence
Funded by CDC’s National Public Health Improvement Initiative September 23, 2013
Previous Tracking Process
Public Health Performance Management
Centers for Excellence
Funded by CDC’s National Public Health Improvement Initiative September 23, 2013
New Tracking Process
Public Health Performance Management Centers for Excellence September 23, 2013
Results – Targets Met
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92% 90%
100%
60%
97% 100% 100% 100% 100%
Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13
Percentage of Records Requests Completed within 10 Day or Less Target
Public Health Performance Management Centers for Excellence September 23, 2013
Results – “Touches”
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4
5
4
4
4
4
4
3
3
0 1 2 3 4 5 6
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
Apr-13
May-13
Jun-13
Average Touches by Staff Per Total Monthly Request
Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
Public Health Performance Management Centers for Excellence
17
Next Steps
Implement and evaluate newly enhanced
form
Create and/or discuss possibility of a
new specific email address
Establish a standardized web-based
process
Create a standardized district-wide form
Public Health Performance Management
Centers for Excellence
Funded by CDC’s National Public Health Improvement Initiative September 23, 2013
Lessons Learned - Clarifications
No baseline for clarifications
Actual findings
Repeat customer requests
Enter Final Date
Public Health Performance Management
Centers for Excellence
Funded by CDC’s National Public Health Improvement Initiative September 23, 2013
Lessons Learned - Touches
Touches
Centralized location
Less staff handling work
Enter Final Date
Public Health Performance Management
Centers for Excellence
Funded by CDC’s National Public Health Improvement Initiative September 23, 2013
Lessons Learned – Centralization
Clarity of process
Enter Final Date
Public Health Performance Management
Centers for Excellence
Funded by CDC’s National Public Health Improvement Initiative September 23, 2013
For more information, contact:
Josi Green, Program Assistant
Ivy Giessen, Applications Systems Analyst
Debbie Pennell, Administrative Support Manager
www.snohd.org
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Public Health Performance Management Centers for Excellence
Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative
Public Health Performance Management Centers for Excellence
The contents of this presentation were selected by the author
and do not necessarily represent the official position of or
endorsement by the Centers for Disease Control and Prevention.
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